R 747 
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SOME ACCOUNT 



OF THE 



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IN 



BOSTON, 



AND OF THE 






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BOSTON: 

PRINTED BY PHELPS AND FARNHAM, 

JVO. 5, COURT STREET. 

1824. 






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ACCOUNT 



OF THE 



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The Massachusetts Medical College, an edifice belong- 
ing to Harvard University, was erected in Boston in 1815 ; 
and the corner stone of the Massachusetts General Hospital 
was laid, by a separate corporation, in 1818. Before this 
period, no medical institution, provided with competent 
means for practical instruction, existed in the eastern 
section of the United States. The want of such an estab- 
lishment had been strongly felt, and, several years earlier 
than the periods which have been specified, two of the 
medical professors in Harvard University had made an 
appeal to the affluent citizens of Boston on this subject ; 
to which, and to their subsequent efforts in the same cause, 
most of the early contributions to the Hospital, and even 
its present existence, may be justly traced. During late 
years a degree of public liberality has been manifested, 
both toward the College and Hospital, which is in the 
highest degree honourable to the Legislature of the Com- 
monwealth. But the private munificence that has been 



called forth, in behalf of the latter establishment, has been 
singularly extensive, and is probably without any parallel 
in the history of charitable institutions in this country. 
So rapid has been the consequent progress of both these 
institutions to maturity, that they have been enabled, 
within a short period, to assume a primary rank among 
similar establishments ; and they now offer to the medical 
students of the United States such practical advantages 
for the study of medicine and surgery, as are only found 
in schools of the highest class, and such as those for 
which the hospitals and seminaries of Europe are usually 
visited. 

It is the object of the present pamphlet to offer some 
account of the two edifices, and of their internal arrange- 
ments, in connexion with the Medical School in Boston, 
the students of which seminary have now access to all 
the advantages which they afford. 



The Massachusetts Medical College is situated in 
Mason Street, near the Boston Common and Mall. This 
building is of brick, 88 feet in length, and 43 in breadth. 
Its figure is oblong, with a pediment in front, and an 
octagonal centre rising above the roof, and also forming 
a three-sided projection in the rear of the building. This 
is surmounted by a dome with a sky-light and balustrade, 
giving an air of elegance to the neatness and fit pro- 
portions of the building. 



5 

The apartments on the first floor are, a spacious medical 
lecture room, of a square form, with ascending semicircular 
seats ; a chemical lecture room in the centre, of an 
octagonal form, with ascending seats ; a chemical labo- 
ratory ; and a library room. In the second story is the 
anatomical theatre, occupying the central part of the 
building, and covered with the dome and sky-light, with 
semicircular seats, which are entered from above and 
descend toward the centre, A large and small dissect- 
ing room, together with another for the anatomical mu- 
seum, occupy the extremities of the same story. The 
whole building is heated by a furnace in the cellar; 
and a forcing pump and cistern in the roof supply the 
apartments with water. 

In this building are contained the cabinet of ana- 
tomical preparations, consisting of more than a thousand 
valuable specimens; the chemical apparatus, which is 
complete and costly; the apparatus and specimens used 
in the lectures on midwifery and materia medica ; and 
the medical library, containing above 3000 volumes. An 
additional building is about to be erected adjacent to 
the College, to receive the Linn&an cabinet, an extensive 
collection of objects in natural history, which has 
lately become the property of Harvard University. 

The Medical Lectures of Harvard University begin 
in this building, annually, on the third Wednesday in 
November. 



6 

By JOHN C. WARREN, M.D. $20. 

By JOHN GORHAM, M* D. 15. 

aWfWnfftts an* J&efctcai $uvtevvvtomtt, 

By WALTER CHANNING, M.D. 10. 
J&ateria J&etrtca, 

By JACOB BIGELOW, M.D. 10. 

Shews antr practice ot $fig*fc, 

By JAMES JACKSON, M.D. 15. 

During the lectures the students are supplied gratui- 
tously with sets of osteological specimens for study, and can 
have the use of the dissecting room on defraying the 
attendant expenses. They are admitted, without any 
expense, to the Surgical Operations and Clinical Prac- 
tice of the Hospital. 



The Massachusetts General Hospital, which is just- 
ly considered the finest building in the state, stands at 
the westerly part of the city, on an enclosed ground of 
four acres, adjoining Charles River. This edifice is 168 
feet in length, and 54 in its greatest breadth, having a 
portico of eight Ionic columns in front. It is built of white 
Chelmsford granite, wrought with uncommon labour, the 
columns and their capitals being of the same material. In 
the centre of the two principal stories are the rooms ap^ 

* Board in the city is obtained by a large portion of the class at $ 3. 



propriated to the superintendent, the apothecary, and 
other officers of the institution. Above these is the ope- 
rating theatre, lighted from the dome, and fitted up with 
semicircular seats for spectators. Beneath is the kitchen 
with its various appendages, the bathing room, wash room, 
laundry, &c. The stair-cases and floorings of the entries 
are of stone. The whole house is supplied with heat by 
air-flues from furnaces in the cellar, and with water by 
pipes and a forcing pump. Various modern improvements 
in domestic economy, conducive to cleanliness and comfort, 
are introduced, together with such auxiliary apparatus for 
the sick as is found useful in the management of their 
diseases. The wings of the building, in the different 
stories, are divided into wards and sick rooms, which are 
fitted up in the neatest and best manner. The number 
of beds contained in them for patients is at present 
about a hundred. No insane patients are admitted to 
this building, these being provided for at the Lunatic 
Asylum at Charlestown, which is another branch of the 
same institution. 

It is due to those, whose great bounty has formed and 
supported this important institution, to offer some notice 
of the sources from which its prosperity is derived. It 
is honourable to the state, to the city and the age, that 
after a most liberal provision had been made by the State 
Legislature to effect the establishment of this charity; 
a sum amounting to more than three hundred thousand 
dollars, the fruit exclusively of private donations, has, 
within a few years, flowed in to its support. A simultane- 
ous effort in its behalf from the affluent, particularly in the 



8 

city of Boston, has formed an example, which, in this coun- 
try at least, is without parallel. And it is not too much 
to assert, that some of the most splendid instances of public 
generosity, which the present age has witnessed, are to be 
found among the benefactions of the Massachusetts 
General Hospital. 

The administration of public infirmaries very properly 
embraces a two-fold object, — the relief of the sick, and 
the instruction of medical students. With a view to the 
promotion of both these ends, the Massachusetts Hospital, 
while it gives accommodation, to the full extent of its means, 
to the sick poor, gives also admission, which was at first 
conditional, but is now free, to the students of the medical 
class, attending the lectures of the physician and surgeon. 
Regular clinical lectures are now given, during winter, by 
the Professor of the Theory and Practice of Physic, 
and students are admitted to the patients to enable them 
to become practically conversant with the symptoms of 
diseases and the operation and influence of medicinal 
agents. 

As is common in large establishments of the kind, ma- 
ny patients resort to the General Hospital to undergo 
surgical operations, rendered necessary by accident or 
disease. No other kind of institution affords equal oppor- 
tunities for acquiring a practical acquaintance with opera- 
tive surgery. Not only the operations themselves, but the 
treatment of the cases preparatory and consequent to the 
operation, and the ]$rogress and management of convales- 
cence, may be here studied and observed. The superior 
conveniences, which a well arranged hospital affords for 



9 



the accommodation of the sick, render this institution a 
resort, not only of the poorer class, among whom, in a large 
city, accidents are of frequent occurrence, but of other 
individuals from a distance, who come with the expecta- 
tion of relief from chronic maladies requiring surgical 
treatment. 

The following is a record of important surgical cases, 
and of Operations performed in the Massachusetts Hos- 
pital, by the Professor of Anatomy and Surgery, during 
the short period of twenty-eight months, from the opening 
of the building in September, 1821, to February, 1824.* 



1821, 



1822. 



Sept. 


21. 


Oct. 


18. 


•>"> 


23. 


55 


25. 


Nov. 


10. 


Dec. 


9. 


January 6. 


55 


6. 


55 


30. 


Feb. 


5. 


55 


19. 


55 


19. 


March 


9. 


April 


22. 



24. 



Operation for prolapsus ani. 

Lithotomy. 

Operation for popliteal aneurism. 

Operation for fistula in ano. 

Fractured leg. 

Dislocation of the hip in the ischiatic 

notch. 
Fracture of the thigh. 
Compound fracture of the leg. 
Removal of a portion of the tibia. 
Amputation of the leg. 
Operation for phymosis. 
Removal of diseased toes. 
Fractured leg. 
Compound comminuted fracture of 

leg. 
Extirpation of tumour from the 

breast. 



* Indigent patients, from any part of the continent, requiring sur- 
gical operations, are received, supported, and attended gratuitously at 
the Hospital, particularly during the winter months. 



10 



1822. June 8. Comminuted fracture of the os hu- 

meri. 
Amputation of the breast. 
Compound fracture of both patellae. 
Removal of foreign substance from 

the globe of the eye. 
Amputation of the breast. 
Extirpation of the parotid gland. 
Operation for prolapsus ani. 
Operation for fistula in ano. 
Operation for cataract. 
Operation for necrosis. 
Removing tumour from the foot. 
Operation for artificial pupil. 

1823. Jan. 15. Removing tumour from the side. 
Removing fragments of rib. 
Operation for cataract. 
Operation for inguinal aneurism, 

the iliac artery tied. 

18. Facial nerve divided for tic dou- 
loureux. 

25. Operation for phymosis. 

25. Laying open a fistulous ulcer over 
the ribs. 

26. Inferior maxillary nerve divided 
for tic douloureux. 

Fractured leg. 
Operation for cataract. 
Operation for cataract. 
Operation for cataract. 
Fracture of the thigh. 
Operation for necrosis. 
Operation for cataract. 
Operation for fistula lachrymalis. 
Operation for cataract. 



July 


17. 


August 2. 


55 


30. 


Sept. 


20. 


Oct. 


12. 


55 


12. 


55 


23. 


Nov. 


23. 


55 


28. 


55 


28. 


Dec. 


20. 


Jan. 


15. 


Feb. 


5. 


55 


12. 


55 


18. 



March 


i 6. 


55 


6. 


April 


4. 


55 


29. 


May 


21. 


55 


26. 


55 


26. 


June 


9. 


55 


11. 



June 


11. 


99 


11. 


July 


15. 


99 


22. 


August 


13. 


95 


13. 



11 



1823. June 11. Operation for cataract. 

Operation for eversion of eyelid. 

Excision of hemorrhoids. 

Operation for prolapsus ani. 

Operation for artificial pupil. 

Operation for cataract by absorp- 
tion. 
14. Removal of a large glandular tu- 
mour from the lower jaw. 
20. Distortion of leg cured by remov- 
ing a section of the tibia. 
Sept. 30. Dissection of the iris from the 
cornea, and operation for artifi- 
cial pupil. 

Extraction of cataract. 

Operation for artificial pupil. 

Excision of a portion of the con- 
junctiva. 

Operation for fistula in perinaeo. 

Extraction of polypus from the 
nostril. 

Hydrocele cured by injection. 

Amputation of the thigh. 

Carbuncle. 

Secondary cataract removed. 

Operation on the iris. 

Operation on the conjunctiva. 

Operation on the iris. 

Amputation of part of the foot. 

Amputation of the leg, circular 
operation. 
20. Amputation of the leg, flap opera- 
tion. 
23. Operation of trepanning. 
26. Operation for fistula lachrymalis. 



9.9 


30. 


Oct. 


14. 


99 


22. 


99 


24. 


99 


24. 


99 


30. 


Nov. 


13. 


99 


17. 


99 


22. 


59 


22. 


99 


30. 


Dec. 


1. 


99 


13. 


99 


20. 



12 

1824. January. Operation for removing fungus ce- 
rebri by ligature. 

1. Operation for lumbar abscess. 

? ' 17. Extirpation of cancerous testicle. 

29. Operation for hare-lip. 

31. Operation for fistula lachrymalis. 

Feb. 6. Moxa applied. 

17. Operation for cataract.* 

It is obvious that the privilege of gratuitous admission 
to so extensive a course of medical and surgical practice 
is r.n advantage not usually attainable in medical schools, 
and one of the highest importance which can be offered 
during the period of preparation for the medical profession. 
It may be proper to add, that the cleanliness, punctuality 
and order observed at the Massachusetts Hospital, the 
regular and daily attendance of the physician and surgeon, 
and the introduction of the various kinds of apparatus and 
modern improvements, which are calculated to increase 
the power of the medical and chirurgical art ; cannot fail 
to promote, in a high degree, the benefit, not only of the 
subjects of the house, but of those who study the pheno- 
mena and management of their diseases. 

It has been the aim of the professors to encourage 
industry in their pupils, and to ensure a competent know- 
ledge of medicine, both theoretical and practical, before 
conferring their testimonials of competency to enter the 
profession. And it has hitherto been their good fortune 

* Out of about one hundred surgical cases in the Hospital last year, 
only two patients died ; and these from the violence of the injuries 
received before admission. 



13 

to be attended by a class of students, alike distinguished 
by their preparatory academic acquirements, and by their 
correct and gentlemanlike deportment. 

Two prizes of $50 each are regularly offered for the 
best medical dissertations, by a committee of the Univer- 
sity ; and the premiums have been annually awarded to 
young physicians and medical students. A society of 
students and others, possessing a valuable library, meet 
regularly for medical discussion and improvement. The 
benefactor of both these establishments is Ward Nicholas 
Boylston, Esq. a gentleman highly distinguished by his 
liberality in the cause of medical science. 



To students who wish to avail themselves of advan- 
tages in the collateral and preparatory studies, a summer 
residence at Cambridge is recommended ; where they may 
attend lectures on Natural Philosophy, Botany, Mineralogy, 
Anatomy, Chemistry, the Arts, Belles Lettres, and Ancient 
and Modern Languages, &c. At this place is the largest 
library in the United States ; the best public botanic 
garden, now under the direction of Mr. Nuttall; a most 
valuable and complete philosophic apparatus, used in the 
lectures of Professor Farrar ; a cabinet of minerals, and 
a chemical apparatus, extensive in their kind ; a suite of 
Italian wax models in anatomy; and whatever is necessary 
for illustrating the elements of the physical sciences. 
Probably no place in the United States has collected so 
many of the useful aids of science, as this ancient and 
distinguished seminary. 



GENTLEMEN 

ATTENDING THE 
IN 

1823—1824. 



VMIVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVtVVVVVVVVVVVVVVVVVVVVVVV 

NAMES. RESIDENCE. INSTRUCTERS. 



Adams, Horatio, 
Ames, Jeremiah F. 
Aicheson, William, Dr. 
Baker, Daniel, 
Ball, Stephen, Jr. 
Barker, Charles 0. 
Barker, Bovven, 
Barrett, John, 
Bartlett, Henry, 
Binney, Amos, 
Blood, Oliver, 
Borden, Adolphus K. 
Bowen, Samuel, 
Briggs, Cyrus, 
Brooks, Ward C. 
Burdick, Henry N. 
Chapin, Charles O. C. 
Childs, Ebenezer, Dr. 
Clark, Joseph, 
Cowdrey, Harris, 
Cuckou, William K. 
Davis, Edward G. 
Dearborn, A. D. 
Dearborn, Jonathan, 
Danforth, Samuel, 
Debrisay, Thomas, 
Dodge, Samuel, 
Duggan, William B. 
Eastman, Joseph B. 



Middleton. 


R. A. Merriam, m. d. 


Dedham. 


U. Parsons, m. d. 


Rockingham, Vt. 




Scituate, R. I. 


C. Fiske, m. d. 


JSTorthborough. 


J. Ware, m. d. 


Jlndover. 


J. Ware, m. d. 


Hanson. 


E. Alden, m. d. 


Portland, Me. 


G. C. Shattuck,M.D. 


Charlestown. 


J. Gorliam, m. d. 


Boston. 


G. C. Shattuck,M.D. 


Sterling. 


N. Hey wood, m. d. 


Nova Scotia. 


H. Orr, m. d. 


Clarendon, VU 


W. Abbot, m. b. 


Little Compton, R.I. J. Bigelow, m. d. 


Boston. 


J. Gorham, m. d. 


Newport, R. I. 


Dr. T. T. Wells. 


Brattleboro\ Vt. 


J. Gorham, m. d. 


Shelburne. 




Ward. 


D. Green, m. d. 


S. Reading. 


T. Spaulding, m. d. 


Charleston, S. C. 


J. W. Schmidt, m. d. 


Boston. 


C. Robbins, Jr. m. d. 


Exeter, J\T. H. 


W. Perry, m. d. 


Northfield, JV. H. 


A. George, m. d. 


Boston. 


G. C. ShattuckjM.D. 


Halifax, JY. S. 


H. D. Almon, m. d. 


Wenham. 


E. Faulkner, m. d. 


Boston. 


W. Channing, m. d. 


Salisbury, JV. H. 


Dr. P. Bartlett. 



15 



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NAMES. RESIDENCE. INSTRUCTERS. 



Elwyn, Alfred W. L. 
Emerson, Moses K. 
Farnsworth, Ralph, 
Fisher, Daniel, 
Fisher, Paul M. 
Fisher, J. D. 
Flint, John, 
Flint, Joshua B. 
Folsom, Thomas 0. 
Frink, Cyrus, 
Frost, Edward, 
Gay, Martin, 
Gorham, David W. 
Greely, Samuel, 
Gutterson, Jackson, 
Hanners, George M. 
Harwood, Daniel, 
Hildreth, Charles T.Dr, 
Hilliard, Timothy, 
Hosmer, Hiram, 
Howe, Josiah, 
Howe, Samuel G. 
Hubbard, Thomas G. 
Hubbart, Joseph S. 
Jarvis, Charles, 
Keep, Nathan C. 
Kimball, David, 
Kittridge, George W. 
Lane, Henry, 
Leland, Phineas W. 
Little, Henry, 
McKean, Joseph W. 
Marshall, John E. Dr. 
Marshall, Jonas A. 
Mayhew, Julius S. 
Mason, John, 



Boston. 

Jlmherst, Va. 

Boston. 

Sharon. 

Boston. 

Dedham. 

Leicester. 

Cohasset. 

Exeter, N. H. 

Portsmouth, JV. H. 

Framing-ham. 

Hingham. 

Canandaigua,J\". Y. 

Mount Vernon, Me. 

Milford, JV. H. 

Boston. 

Barre. 

Haverhill. 

Herrington. 

Walpole, J\T. H. 

Shrewsbury. 

Boston. 

Pomfret, Conn. 

Boston. 

Concord. 

Boston. 

Topsfield. 

Epping, JV. H. 

Lancaster. 

Grafton. 

Boston. 

Cambridge. 

Buffalo, JV*. F. 

Fitchburg. 

New Bedford. 

Castine, Me. 



J. Gorham, m. d. 
S. A. Shurtleff, to. d. 
A. Farnsworth, to. d. 
W. Channing, m. d. 
J. Mann, m. d. 
J. Ware, m. d. 
Dr. E. Flint. 
J. C. Warren, m. d. 
W. Perry, m. d. 
J. H. Pierrepont, m.d. 
S. Whitney, m. d. 
R. T. P. Fiske, m. d. 
J. Gorham, to. d. 
J. D. Wells, m. d. 
Dr. C. Thomas. 
J. Bigelow, to. d. 
Dr. E. Flint. 
J. C. Warren, m. d. 
J. Ware, m. d. 
A. Twitchell, m. d. 
J. H. Flint, m. d. 
J. D. Wells, m. d. 
J. C. Warren, m. d. 
J. Randall, m. d. 
G. C. Shattuck, m. d. 
G. B. Doane, to. d. 

Dr. G. Kittridge. 
D. Wyman, m. d. 
G. C. Shattuck, m.d. 
J. Bigelow, to. d. 
J. J. Walker, to. d. 

N. Miller, m. d. 

Dr. A. Read. 

J. L. Stevens, m. b. 



16 



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NAMES. RESIDENCE. INSTRUCTERS. 



O'Connor, Maurice, 
Orr, Samuel A. 
Palmer, Joseph, 
Parris, Samuel B. 
Pickering, Charles, 
Pierce, Augustus, 
Plympton, Augustus, 
Porter, John, 
Prentice, Nath'l P. S. 
Prescott, Edes, 
Proctor, Leonard, 
Richards, John H. 
Robertson, Robert, 
Robinson, Horatio, 
Russ, John D. 
Shaw, William A. 
Smith, George M. 
Smith, Dudley, 
Smith, Isaac P. 
Stone, Ebenezer, 
Storer, David H. 
Thayer, Frederick, 
Tilton, John F. 
Townsend, Horatio,Jr. 
Tucker, Simeon, 
Tucker, George W. 
Walker, Charles, 
Watson, Hiram, 
Watson, Abraham A. 
Webb, Thomas H. 
Webb, Stephen, 
Weed, George L. 
Wheat on, Horatio G. 
Whiston, Francis C. 
Willard, Henry, 
Wyeth, Jacob, 



St. Helena. 

Bridgewater. 

Boston. 

Marshfield. 

Salem. 

Boston. 

Woburn. 

Boston. 

Portland, Me. 

Boston. 

Littleton. 

Boston. 

Boston. 

Salem. 

Boston. 



Asa Bucknam, m. d. 
H. Orr, m. d. 
C. Robbins, Jr. m. d. 
S. Bugbee, m. d. 
A. L. Pierson, m. d. 
G. C.Shattuck,M.D. 
W. Channing, m. d. 
G. C. Shattuck, m. d. 
J. Merrill, m. d. 

S. D. Townsend, m. d. 
N. Niles, m. d. 
S. A. Shurtleflf, m.d. 
J. C. Warren, m. d. 
J. D. W^ells, m. d. 



North Kingston, RA.W. G. Shaw, m. d. 
Mstead. A. Twitchell, m. d. 



Keene, JV. U. 

Manchester. 

Sherburne. 

Portland, Me. 

Boston. 

Scarbaro 

Boston. 

Canton. 

Boston. 

Charlestown 



Me. 



J. C. Warren, m. d. 

A. Story, m. d. 

Dr. J. B. Kittridge. 

J. C. Warren, m. d. 

N. Niles, m. d. 

J. C. Warren, m. d. 

C. Robbins, Jr. m. d. 

E. Alden, m. d. 

J. D. Wells, m. d. 

J. Gorham, m. d. 
Weather sfield, Conn. S. B. Woodward, m. d. 
Cambridge. G. Bradford, m. d. 

J. Mackie, m. d. 

J. C. Warren, m. d. 

Dr. L. Ticknor. 

J. B. Whittredge, m.d. 

J. Ware, m. d. 

J. Ware, m. d. 

G. C. Shattuck, m. d. 



Providence, R, I. 
Salem. 

Catskill,J)T. Y. 
Charleston, S. C. 
Boston. 
Wrentham. 
Cambridge. 
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